Since 1999, adult Enhanced Recovery After Surgery (ERAS) protocols have been improving
outcomes for surgery patients [
[1]
]. By 2008, several early ERAS articles were written documenting improvements in the
care of colorectal, bladder, pancreatic and liver cancer patients [
2
,
3
,
- Arumainayagam N.
- McGrath J.
- Jefferson K.P.
- Gillatt D.A.
Introduction of an enhanced recovery protocol for radical cystectomy.
BJU Int. 2008; 101 (Epub 2008 Jan 8. PMID: 18190646): 698-701https://doi.org/10.1111/j.1464-410X.2007.07319.x
4
,
5
]. These adult oncology reports demonstrated a decrease in length of stay [LOS] without
an increase in complications or return to the system [ROS]. Patients who received
minimally invasive surgery [MIS] as part of the ERAS protocol demonstrated improvements
in the quality of life [QOL] as they recovered more quickly. In addition, ERAS patients
had evidence of decreased stress response, and an earlier return to an anabolic state
with positive nitrogen balance compared to those managed traditionally [
[6]
]. Thus, the benefits of ERAS were brought to the surgical oncology world, helping
people with cancer recover more quickly.- Ljungqvist O.
- Scott M.
- Fearon K.C.
Enhanced recovery after surgery: a review.
JAMA Surg. 2017; 152 (Mar 1. PMID: 28097305. Review): 292-298https://doi.org/10.1001/jamasurg.2016.4952
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References
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- Enhanced recovery after surgery: a review.JAMA Surg. 2017; 152 (Mar 1. PMID: 28097305. Review): 292-298https://doi.org/10.1001/jamasurg.2016.4952
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American College of Surgeons Children's Surgery Verification, 2021 Standards. 5.13 Enhanced Recovery After Surgery (ERAS) Protocols. https://www.facs.org/quality-programs/accreditation-and-verification/childrens-surgery-verification/standards/.
Article info
Publication history
Published online: June 07, 2022
Accepted:
May 27,
2022
Received:
May 27,
2022
Identification
Copyright
© 2022 Published by Elsevier Inc.
